Key result
Primary THR for femur fractures in active older patients shows a mean 2-year HHS of 94.
Why the study?
Primary total hip replacement in patients older than 60 years with fractured neck of femur has shown satisfactory functional results, motivating evaluation of outcomes in this population.
Does primary total hip replacement improve functional outcomes in active patients older than 60 years with fractured neck of femur?
Observational (n=40)
Does primary total hip replacement improve functional outcomes in active patients older than 60 years with fractured neck of femur?
Primary total hip replacement provides excellent functional outcomes at 2 years in active elderly patients with fractured neck of femur.
Supports primary THA in active elderly femoral neck fracture patients; hypothesis-generating case report leaves comparative efficacy open.
Background The option of primary total hip replacement in patients with fractured neck of femur gives satisfactory functional results, which evokes the idea of this research to study the outcome of total hip replacement (THR) in patients older than 60 years having fractured neck of femur.Patients and methods A total of 40 active patients older than 60 years were included in our series. Patients were operated after a mean of 5 weeks after fracture. All patients were operated on by THR, under regional anesthesia, using modified Hardinge approach in lateral position. Postoperatively, all patients were allowed to bear weight as tolerated on the second day after operation. All patients were followed up at 6 weeks, 3 months, 6 months, and every 6 months thereafter.Results The results were good in all patients at 3 months, excellent in 23 patients at 6 months, and excellent among all at 2-year follow-up, with mean harris hip score (HHS) of 94.Conclusion Primary THR is a good line of treatment in active patients older than 60 years with fractured neck of femur.
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Khaled et al. (2017) conducted an observational in Fractured neck of femur (n=40). Primary total hip replacement was evaluated on Harris Hip Score (HHS) at 2-year follow-up. Primary total hip replacement in active patients older than 60 years with a fractured neck of femur yielded excellent outcomes in all patients at 2 years, with a mean Harris Hip Score of 94.
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